Executive Editor: Fergal Monsell

General Editor: Chris Colton

Authors: Andrew Howard, James Hunter, Theddy Slongo

Pediatric proximal femur 31-M/7

General considerations

All lesser trochanteric avulsions can be treated nonoperatively. In cases with severe proximal displacement (>2 cm), the callus between the fragments and the femur can irritate the sciatic nerve. In this situation, reduction and fixation may need to be considered.

Complete avulsion of the greater trochanter is an indication for fixation. Small avulsions of the trochanteric tip do not require fixation if the bulk of the abductor insertion is intact and functional.

The choice between screw fixation and tension band of an intact fragment is made according to the surgeon's preference.

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Authors' added material

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v1.0 2017-12-04